Evidence map›Paper›PMID 38049836›Full record

SynthesisVirology journal2023

Association between human herpesvirus infection and cervical carcinoma: a systematic review and meta-analysis.

Han Zhang, Shunli Cai, Yuan Xia, Yangxuan Lin, Guozhong Zhou, Yinghui Yu, Min Feng

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Virology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Han Zhang *Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, 935 Jiaoling Road, Kunming, 650118, China.
Shunli Cai *No.1 School of Clinical Medicine, Kunming Medical University, Kunming, 650051, China.
Yuan XiaSchool of Basic Medical Sciences, Kunming Medical University, Kunming, 650051, China.
Yangxuan LinSchool of Basic Medical Sciences, Kunming Medical University, Kunming, 650051, China.
Guozhong ZhouDepartment of Science and Research, The Affiliated Anning First People's Hospital of Kunming University of Science and Technology, Kunming, Yunnan, 650302, China.
Yinghui YuDepartment of Gynaecology and Obstetrics , The Affiliated Anning First People's Hospital of Kunming University of Science and Technology, 2 Ganghe South Road, Anning City, Kunming, 650302, China. yuyinghui6870@163.com.
Min FengInstitute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, 935 Jiaoling Road, Kunming, 650118, China. fengmin@imbcams.com.cn.

Funding

Chinese Academy of Medical Sciences Initiative for Innovative Medicine 2021-I2M-1-004Program of Medical Discipline Leader in Yunnan Health System D-2019023Program of Medical Discipline Leader in Yunnan Health System D-2019027Technological Innovation Talents of Yunnan Province 2019HB044
6 · The paper itself

Abstract

backgroundCervical cancer (CC) is one of the most common gynecologic tumors among women around the world. Although the etiological role of human papillomavirus (HPV) in CC is well established, other factors in CC carcinogenesis remains unclear. Here, we performed a systematic review and meta-analysis to explore the association between infections of human herpesvirus (HHVs) and CC risk.

methodsEmbase and PubMed databases were utilized to search the relevant studies. The revised JBI Critical Appraisal Tool was used to assess the quality of the included studies. Prevalence and odds ratios (ORs) with 95% confidence intervals (CI) were calculated to evaluate the association between viral infection and CC or precancerous cervical lesions (PCL).

resultsTotally 67 eligible studies involving 7 different HHVs were included in meta-analysis. We found an increased risk of CC or PCL that was associated with the overall infection of HHVs (CC, OR = 2.74, 95% CI 2.13-3.53; PCL, OR = 1.95, 95% CI 1.58-2.41). Subgroup analysis showed a trend towards positive correlations between herpes simplex virus type 2 (HSV-2) infection and CC (OR = 3.01, 95% CI 2.24 to 4.04) or PCL (OR = 2.14, 95% CI 1.55 to 2.96), and the same is true between Epstein-Barr virus (EBV) infection and CC (OR = 4.89, 95% CI 2.18 to 10.96) or PCL (OR = 3.55, 95% CI 2.52 to 5.00). However, for HSV-1 and cytomegalovirus (HCMV), there was no association between viral infection and CC or PCL. By contrast, the roles of HHV-6, HHV-7, and Kaposi sarcoma-associated herpesvirus (KSHV) in cervical lesions were unclear due to the limited number of studies.

conclusionsThis study provided evidence that HHVs infection as a whole increase the risk of CC incidence. In addition, some types of HHVs such as EBV and HSV-2 may serve as potential targets in the development of new interventions or therapeutic strategies for cervical lesions.

Indexed as

Epstein-Barr Virus InfectionsHerpes SimplexHerpesviridaeHerpesviridae InfectionsHerpesvirus 1, HumanUterine Cervical NeoplasmsFemaleHerpesvirus 2, HumanHerpesvirus 4, HumanHumansCervical cancerEpstein-Barr virusHerpes simplex virus type 2Human herpesvirusMeta-analysisPrecancerous cervical lesions

Identifiers

PMID38049836
PMCPMC10696706

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.